Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07735 | Date 21/11/2022 |
| Token No | SM/22-23/6464 21/11/2022 | Serial | 004 |
| Patient Name | Mr. MANJIT KUMAR | Contact No | 8252453759 |
| Address | COCKRAIN ROAD | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||